Individual provider Active NPI

Stacy Louise Hobbs, RN

  • Registered Nurse
  • Appleton, WI
National Provider Identifier
1043853856
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
245493-30 Issued in WI
Practice address
3121 W Spencer St Ste 170
Appleton, WI 54914-4323
Phone
(920) 940-8095
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 245493-30 WI Primary

Addresses

Primary practice location

3121 W Spencer St Ste 170
Appleton, WI 54914-4323

Mailing address

1749 Marissa CT
De Pere, WI 54115-7409
Phone (920) 396-9929

Other identifiers 1

IdentifierTypeStateIssuer
245493-30OtherWIREGISTERED NURSE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CompassionateCareWI@Gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
245493-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health Careers Academy of Northeast Wisconsin LLC Registered Nurse CurrentSince Jul 7, 2024 Accepting new patients

Locations

3121 W Spencer St
Ste 170
Appleton, WI 54914
Phone (920) 940-8095

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1043853856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 MARISSA CT",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157409",
            "telephone_number": "920-396-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 W SPENCER ST STE 170",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144323",
            "telephone_number": "920-940-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "STACY",
        "middle_name": "LOUISE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "245493-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE NUMBER",
            "identifier": "245493-30",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CompassionateCareWI@Gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1266 Crown Ct",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541153814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.